Permit CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT Permit#: PLM2021-00450
Date Issued: 11/1/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104BD04400
Jurisdiction: Tigard
Site address: 12774 SW 138TH AVE
Project: Kaplan Subdivision: ROSE MEADOWS Lot: 3
Project Description: Replacing(1)dishwasher,(1)garbage disposal,(1)ice maker,&(1)sink.
Contractor: YURY THE PLUMBER Owner: KAPLAN, DANIEL&ALLA
7487 SW 173RD PL 12774 SW 138TH AVE
BEAVERTON,OR 97007 TIGARD,OR 97223
PHONE: 503-649-8334 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Dishwasher 11/01/2021 $25.02
Specifics: 1 ea Garbage Disposal 11/01/2021 $25.02
1 ea Ice Maker 11/01/2021 $12.51
Type of Use: SF 1 ea Sink 11/01/2021 $25.02
Class of Work: ALT 1 12%State Surcharge- 11/01/2021 $10.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $98.08
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Hatt, Vaw Pe, we-g Permittee Signature: Ow Apptica.„6,0„,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit .°RECEIVED
E I
Building Fixtures ,(1 ,)k Ol.11( 1 t .1 ON1
Receved
City of Tigard It; 102 Date'B `0�j1�Vh l/0 -1-1p��)./ !/l/ L:572-_._
1 13125 SW Hall Blvd.,Tigard,OR 9722 .�,.,yr Plan Review
Phone: 503.7182439 Fax: 503.598.1 T OF MAR()
Date/By: Other Permit No.:
t 1, .\i 1. Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By /, Jruis. See Page 2 for
g g ` z's ?s S „/ Stjptemental Information
Internet: www.ti and-or. ov Notifie clhodL
TYPE OF 7123111COther.
FEE" SCHEDULE
[�New construction 0 Demolition For special information use checklist
_.• Description FEE*
Qty. I Ea. I Total
❑Additiomlaheratiott replacement New I-I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
� }-and 2-family dwelling
El SFR(2)bath 437.78
[]
SFR(3)bath 500.32
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: /2 7 -Y S k.i ' e A)/P Catch basin or area drain 18.76
Drywell,leach line.or trench drain 18.76
City/State/ZIP: Tf o t2 el OP 9 7 2 2 3 '
Footing drain(no.linear ft.:_) Page 2
Suite/b)dgJapt.no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: .. _1si 1-e R )1. g 1 Manholes - 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
- Storm sewer(no.linear ft.: ) Page 2
2
Water service(no.linear ft.:^) Page
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow prevenrcr 1 31.27
Backwater valve 12.51 '
DESCRIPTION OF WORK
Clothes washer 25.02
4jpk. it',.
_ C( i A r, to gyre 6, 6rrr,ilo&de' vls Ri) N Dishwasher i 25.02
C e r wl.u1 of / Drinking fountain 25.02
>2-ep/ieG� GYlj r �°.GGs r,r/ rou/7 Zi4 101 I!.� Ejectors/sump 25.02
[ PROPER UWNER 0 TENANT Expansion tank 12.51 ,11
Peat t(P Fixture/sewer cap25.02 ,
Name: d � �� N !Floor drain/floor sink/hub 25.02
Address: 'S,AA) 13 (1 A N✓e }
f
2 7Garbage disposal I 3 25.02 III £
Cit}/State/ZI ` )P: q Q 'p ei 0 k .9 /? 2 z 3 Hose bib 25.02
1
Phone:( ) Fax:( ) Ice maker 1 12.51 i
_ ` `
APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 i
Business name Medical gas(value:$ ) Page 2
J 1 1� j Primer 12.51
Contact name: +` ,("`/ ;J
Roof drain(commercial) l 2.51
Address: 1 A....e. s
Sink basintlavatory 25.02
City/State/ZIP: Solar units(potable water) _ t 62.54
Phone:(� J Fax: :( ) Tub/shower/shower pan f 12.51
Urinal 25.02
E-mail: t -
Water closet 25.02
CONTRACTOR _/� �� Water heater 37.52
Business name: ��/uy�t '^ Water piping/DWV 56.29
Address: /5,U �t / /all 5,9-yl /2. 7* Other: 25.02
City/State/ZIP: /ter ' y„,,,? (¢�') q Z is -- Subtotal
/may Minimum permit fee: $72.50
Phone:0-0.3) ,3/✓ 7/�y Fax:( ) �/,L
CCB Lie.: ,/3- 01 y6� Plumbing Lic.no.:J 3 PA Plan review (25%of permit fee)
✓ State surcharge(12%ofpermit fee)
Authorized signature: +�`J 17/IY TOTAL PERMIT FEE
I
j /�. /J
I,_ Print name: 'i-'La v... j J aA j Date Thts permit app)katioa expires If a permit Is not obtained within 180 days
v 4,r after it has been accepted as complete.
s;. •Fee methodology set by Tri-County Building Industry Service Board.
t',Buitding`Permits'PLML-PerrnitApp.doc IOMI i09 440-4616T(IOf02/COMPWEa)
1
Julie Drinkwater
From: alla kaplan <allainportland@gmail.com>
Sent: Thursday, October 21, 2021 3:20 PM
To: #Building Permit Technicians; Sergey Pevzner
Subject: Re: Attention Julie: Plumbing Permit - 12774 SW 138th
Categories: Julie
Caution!This message was sent from outside your organization.
Thank you Julie. We are replacing fixtures, not adding anything. We are changing the location of the kitchen sink slightly.
All else is the same.
Please let us know if you have any questions.
Thanks,
Alla
On Thu, Oct 21, 2021 at 7:37 AM #Building Permit Technicians<TigardBuildingPermitsCc@tigard-or.gov>wrote:
Hello Alla
Before we can process your permit application, we will need to know if you adding these fixtures to your home or
replacing existing fixtures?
Thank you Sea v1
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW 1 iall Blvd
Tigard,OR 97223
503-718-2804
1
Due to an increased demand for services, please expect longer wait times for responses to emails,voice messages and building
inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non-
essential,such as fee estimates, may take longer to respond. In the meantime, please view this quick guide on how to submit
common service requests.
From: alla kaplan<allainportland@gmail.com>
Sent:Wednesday,October 20, 2021 9:46 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Sergey Pevzner<sergev.pevzner@vahoo.com>
Subject:Attention Julie: Plumbing Permit- 12774 SW 138th
Hello Julie,
We spoke about a week ago. My plumbing contractor Yury, CCB Lic#137889 was allowed to submit the permit
application via email (not through your website). Please see the attached permit application and let us know when an
inspector can come out.
My phone number is 503.593.3764. I am the homeowner.
Kind Regards,
Alla
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-
mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are
retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention
Schedule."
2
Julie Drinkwater
From: #Building Permit Technicians
Sent: Thursday, October 28, 2021 1:22 PM
To: alla kaplan
Subject: PLM2021-00450, 12774 SW 138, Kaplan
Attachments: Invoice.pdf
Hello Alla
The permit for the Kaplan project is ready to be issued.The balance due is$98.08. Attached please find the invoice for
your review.
The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record
number under the Building tab. There is a service fee of 3%for payments by card, and there no service fee for payments
made by e-check. On the payment screen, select the payment method from the dropdown list next to the 'payment'
field.
Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that they can
issue the permit and make it available for pick up.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
Due to an increased demand for services, please expect longer wait times for responses to emails,voice messages and building
inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non-
essential,such as fee estimates, may take longer to respond. In the meantime, please view this quick guide on how to submit
common service requests.
1